Outcomes of radical intended surgery for hilar cholangiocarcinoma in Bach Mai Hospital

Abstract

 The study aimed to evaluate the results of radical resection for hilar cholangiocarcinoma. A prospective, noncontrolled intervention study was performed on 19 patients from January 2021 to December 2023. The mean age was 56.89±11.25 (31-68) years and the male rate was 65%. The average tumour size was 25.33±11.77 mm. The mean time for controlling Glisson pedicles and the average operative time were 115.46±53.69 and 327.24±73.49 minutes, respectively. The mean blood loss was 230.29±138.91 ml, there were no complications during pedicle dissection, and 8 patients (42.1%) required intraoperative blood transfusion. The mean number of dissected lymph nodes was 14.71±6.21. An R0 or R1 resection margin was achieved in 100% of patients. The overall rate of postoperative complications was 15.8%, of which postoperative liver failure accounted for 5.3%. The average number of days in hospital postoperatively was 27, the shortest was 10, and the longest was 63. One critically ill patient requested to go home due to liver failure (5.3%). The 3-year-overall and disease-free survival were 80 and 80.4%, respectively. Thus, radical resection for hilar cholangiocarcinoma is a safe and effective method.